{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:10:45Z","timestamp":1740179445912,"version":"3.37.3"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,11,22]],"date-time":"2020-11-22T00:00:00Z","timestamp":1606003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Takotsubo syndrome is a frequent entity; however, it has never been described after a mitral valve surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary\u2003<\/jats:title>\n                  <jats:p>We present the case of a 79-year-old woman, with background of atrial fibrillation and a left atrial appendage closure device, who was admitted for elective mitral valve replacement, because of asymptomatic severe primary mitral regurgitation. Biologic mitral valve was implanted without incidences, but in the postoperative, she developed cardiogenic shock. Electrocardiogram (ECG) showed inverted T waves in precordial leads and an echocardiography showed severe left ventricular (LV) dysfunction with mid to distal diffuse hypokinesis, and better contractility in basal segments. Troponin levels were mildly elevated. With the suspicion of a postoperative acute coronary syndrome, a coronary angiography was performed and showed no significant coronary lesions. The haemodynamic situation was compromised for the next 48\u2009h, in which vasoactive support and intra-aortic balloon counterpulsation were implemented. After 48\u2009h, the haemodynamic situation suddenly improved. The ECG was normalized, and a control echocardiogram showed partial recovery of the LV function with resolution of regional wall motion abnormalities. The patient could be discharged at 1 week. The clinical picture was interpreted as a stress cardiomyopathy after mitral valve surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion\u2003<\/jats:title>\n                  <jats:p>Takotsubo syndrome is a threatening condition; complications in acute phase could lead to a fatal outcome. Mitral valve surgery has to be considered as a trigger for this entity, after excluding coronary involvement, specially of left circumflex artery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa327","type":"journal-article","created":{"date-parts":[[2020,11,22]],"date-time":"2020-11-22T05:06:36Z","timestamp":1606021596000},"page":"1-5","source":"Crossref","is-referenced-by-count":6,"title":["Takotsubo syndrome after mitral valve surgery: a case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5981-2546","authenticated-orcid":false,"given":"Ana","family":"Devesa","sequence":"first","affiliation":[{"name":"Department of Cardiology, IIS-Hospital Universitario Fundaci\u00f3n Jim\u00e9nez D\u00edaz - Quironsalud, Av Reyes Cat\u00f3licos 2, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Hern\u00e1ndez-Estefan\u00eda","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, IIS-Hospital Universitario Fundaci\u00f3n Jim\u00e9nez D\u00edaz - Quironsalud, Av Reyes Cat\u00f3licos 2, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1373-0999","authenticated-orcid":false,"given":"Jos\u00e9","family":"Tu\u00f1\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Cardiology, IIS-Hospital Universitario Fundaci\u00f3n Jim\u00e9nez D\u00edaz - Quironsalud, Av Reyes Cat\u00f3licos 2, 28040 Madrid, Spain"},{"name":"Universidad Aut\u00f3noma de Madrid, Ciudad Universitaria de Cantoblanco, 28049 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5975-5761","authenticated-orcid":false,"given":"\u00c1lvaro","family":"Ace\u00f1a","sequence":"additional","affiliation":[{"name":"Department of Cardiology, IIS-Hospital Universitario Fundaci\u00f3n Jim\u00e9nez D\u00edaz - Quironsalud, Av Reyes Cat\u00f3licos 2, 28040 Madrid, Spain"},{"name":"Universidad Aut\u00f3noma de Madrid, Ciudad Universitaria de Cantoblanco, 28049 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,11,22]]},"reference":[{"key":"2021010812222087400_ytaa327-B1","doi-asserted-by":"crossref","first-page":"2032","DOI":"10.1093\/eurheartj\/ehy076","article-title":"International expert consensus document on Takotsubo syndrome (part I): clinical characteristics, diagnostic criteria, and pathophysiology","volume":"39","author":"Ghadri","year":"2018","journal-title":"Eur Heart J"},{"key":"2021010812222087400_ytaa327-B2","doi-asserted-by":"crossref","DOI":"10.15406\/jaccoa.2016.04.00122","article-title":"Post-operative Takotsubo cardiomyopathy: case report and review of literature: how much we know","author":"Mp","year":"2016","journal-title":"J Anesth Crit Care Open Access"},{"key":"2021010812222087400_ytaa327-B3","doi-asserted-by":"crossref","first-page":"157","DOI":"10.4103\/0971-9784.129875","article-title":"Postoperative Takotsubo cardiomyopathy","volume":"17","author":"Bhojraj","year":"2014","journal-title":"Ann Card Anaesth"},{"key":"2021010812222087400_ytaa327-B4","doi-asserted-by":"crossref","first-page":"47","DOI":"10.5152\/TJAR.2014.90582","article-title":"Takotsubo cardiomyopathy occurring in the postoperative period","volume":"43","author":"Deniz","year":"2015","journal-title":"Turk J Anesth Reanim"},{"key":"2021010812222087400_ytaa327-B5","first-page":"226","article-title":"Takotsubo syndrome after cardiac surgery. 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